Hello,
Denali is a 5 years old M/N that “developed” incontinence progresivelly in the last 12 months. Maybe mild stranguria. His USG was 1.025. PH 7.Rest of UA was WNL. REctal exam normal however big dog. Bloodwork was declined due to financial constraints. Urine culture is pending. Kidneys and bladder looks normal with no uroliths or masses. Apparently this dog responded well recently to Phenylpropanilamine tx. So urethral sphyncter is on my list but..
Hello,
Denali is a 5 years old M/N that “developed” incontinence progresivelly in the last 12 months. Maybe mild stranguria. His USG was 1.025. PH 7.Rest of UA was WNL. REctal exam normal however big dog. Bloodwork was declined due to financial constraints. Urine culture is pending. Kidneys and bladder looks normal with no uroliths or masses. Apparently this dog responded well recently to Phenylpropanilamine tx. So urethral sphyncter is on my list but..
Was wondering if this prostate looks normal. To me is a little to big for a neuter dog, also I think it is mildly heteroechoic and there are some “vague” mineralization foci. I know that can be found also in BPH but wanted to check your opinion. If not “bad ” enogh to FNA would you recheck prostate US in 30-90 days?
Thank you
Comments
I don’t see any downside to
I don’t see any downside to sedation and get FNA for cytology and cultrue. If signs of LUTD I would consider treating with antibiotics based upon the results of your lab work or symptomatically if that is all that is allowed- with a follow up ultrasound.
There was recently a post about prostatic wash vs FNA.
Prostate is a little big and
Prostate is a little big and microcystsic. May be normal regression for a prostatitis dogs that was neitered and treated incompletely or just chronci lumpiness from the prior insults… but carconoma possible and worth an fna and also may have embedded infection as well int he prostate so culture form the fna would be prudent.
Phenylpropanilamine will
Phenylpropanilamine will increased the external sphincter tone and is a non-specific reaction. Although urinary incontinence can occur post-castration it is fairly rare. In this dog the prostate does appear enlarged with small cysts – both unusual in a castrated dog, unless it was crypt-orchid and only the scrotal testis was removed. This leaves neoplasia as an important consideration and needs to be followed up with an FNA of the prostate.
Thank you all. I will
Thank you all. I will recommend FNA with C/S. It is great to have access to this forum:)
Remo, that is a good point. I will ask for history. Thank you